21 Financial Audit of Central Government and NHS Bodies in Wales 2007 3.11 In December 2006, the Assembly Government implemented two new financial systems - 'E-purchases' a purchase orde
Trang 121 Financial Audit of Central Government and NHS Bodies in Wales 2007
3.11 In December 2006, the Assembly
Government implemented two new financial systems - 'E-purchases' (a purchase ordering system) and 'E grants' (a system for tracking grants payable) - designed to improve the quality and timeliness of resource-based financial information available to
sub-accounting officers in controlling their budgets
3.12 Accurate and timely financial information should be made available and utilised throughout the year, and not just to support the production of year-end accounts The systems recently implemented are intended to support the Assembly Government's intention
to improve the financial information available
on a routine basis to support its business activities and decision-making Further progress still needs to be made, however, to ensure that the systems in place will deliver the full range of benefits available from resource accounting My staff will continue to work with and advise the Assembly
Government in taking forward developments
in this area
The Whole of Government Accounts project requires sound financial systems that provide prompt and accurate financial information
3.13 The aim of HM Treasury's Whole of Government Accounts project is to produce a set of commercial style consolidated accounts for the whole of the public sector across the United Kingdom It will make available for the first time comprehensive audited public sector information, based upon generally accepted accounting principles This will support enhanced policy formulation and resource allocation, and should contribute significantly
to fiscal management The 2007 Budget Report announced that the 2008/2009 set of Whole of Government Accounts will be the first to be published
Better use of resource accounting will help to
enhance financial and risk management
Resource accounting is the application of accruals based
methods for reporting on the expenditure of central
government bodies and a framework for analysing that
expenditure against business objectives, relating this to
outputs wherever possible It means, for example, that it is
when a transaction occurs that determines when it is
brought to account rather than the period in which the
related cash is received or paid Financial statements
prepared on an accruals basis therefore provide a more
accurate record of resources expended.
More regular use of accruals based accounting information
by public sector organisations will bring several benefits:
Bodies will have access to regular accruals based management accounts These will inform
managements' decision making process, providing
a clearer picture of an organisations actual performance.
Regular reviews of accruals based management information will assist risk management by providing better early warning signs of possible over or under spends.
Closedown procedures in an organisation producing regular accruals based information will
be more efficient, assisting bodies to meet Treasury's faster closing initiative, and the Whole of Government Accounts time-table.
The faster closing initiative ensures that audited information is made available earlier, providing the users of public sector accounts with more up to date and relevant information.
This is trial version www.adultpdf.com
Trang 222 Financial Audit of Central Government and NHS Bodies in Wales 2007
3.14 As part of the Whole of Government Accounts
process, the Assembly Government is
responsible for preparing sub-consolidations
of financial information in Wales provided by
central government bodies (including the
Assembly Government itself), NHS trusts and
local authorities The sub-consolidations are
submitted by the Assembly Government to
HM Treasury and audited by the Wales Audit
Office There will also in future be a separate
Whole of Government of Wales Account,
prepared under the Government of Wales Act
2006, although a date for its first publication is
yet to be determined
3.15 The requirement each year for audited bodies
to complete Whole of Government Accounts
information within a strict timetable is also
reinforcing the benefits of faster closing of
accounts
3.16 My audit work on the 2005/2006 Whole of
Government Accounts submissions by audited
bodies was undertaken on a 'dry-run' basis
While the dry-run process generally went
successfully, my audit highlighted a failure by
some bodies to accurately disclose their
transactions and balances with other public
sector bodies This information is essential as
it has to be eliminated from the consolidated
Whole of Government Accounts to prevent
double counting of transactions and balances
3.17 The accurate identification and agreement of
transactions and balances between public
bodies is probably the most significant risk
associated with the Whole of Government
Accounts process Having arrangements in
place to do this should, in any case, be part of
sound financial management Organisations
will need to establish better systems to
identify relevant transactions and balances
throughout the financial year, and become
more proactive in securing agreements with
other public sector bodies on amounts so that
accurate information can reported
3.18 My staff will continue to work closely with officials of the Assembly Government in improving the guidance available to auditors and audited bodies in this area I also welcome the contribution that the Wales Audit Office is making to a Whole of Government Accounts working group of the Public Audit Forum This forum brings together auditors from across the UK of all bodies involved in auditing Whole of Government Accounts including other National Audit Agencies, the Audit Commission, and representatives from the private sector firms
NHS bodies are currently meeting risk management standards but face new challenges in relation to new healthcare standards and governance review
3.19 Effective risk management should represent
an integral part of corporate governance arrangements within public sector bodies in Wales It is needed in order to ensure that organisations can successfully manage the internal and external risks that they face as
an organisation All audited bodies have continued to make good progress in developing their risk management systems
3.20 NHS bodies have an additional requirement
to complete a self-assessment each year against the Welsh Risk Management (WRM) standards Governance is a specific standard against which bodies are assessed, and this examines the use and review of risk registers; how well risk management is embedded within the organisation; and sub-committees setup to oversee Corporate Governance NHS bodies are expected to achieve a target
of 75 per cent against this standard, and all
This is trial version www.adultpdf.com
Trang 323 Financial Audit of Central Government and NHS Bodies in Wales 2007
36 bodies successfully met this requirement
in 2005/2006 I am also satisfied that overall NHS bodies are making good use of risk registers in their business operations
3.21 NHS bodies currently face further significant
challenges in respect of their corporate governance systems These include the implementation of new health care standards, and a detailed review of their current
governance frameworks
3.22 The new framework of health care standards
outlined in Figure 9will come into force in 2006/2007, as part of the ‘Making the Connections’ agenda
3.23 NHS bodies in Wales will need to review their
systems in all areas to ensure that they have the necessary procedures in place to meet the requirements of and report on these standards
3.24 The Director of NHS Wales has also commissioned a review of corporate governance within the NHS in Wales to determine whether the NHS is evolving in such a way as to meet the challenges ahead The review is being undertaken by the
National Leadership and Innovation Agency for Healthcare (NLIAH) with support from the Wales Audit Office Figure 10sets out the Terms of Reference for the review
3.25 I encourage all NHS bodies to take an active part in the review, and to consider in detail any recommendations that may arise I will also want to consider the results of the review
on its conclusion
New Risk Management Standards
The Patient Experience
Services should be user friendly, patient centred,
and reflect the diverse needs and preferences of
the community
From April 2007 healthcare organisations in Wales will be required to undertake self-assessments against these new standards, which will then
be validated by the Healthcare Inspectorate Wales Whilst 2007 will be a development year for this work, in future years these standards will be used to inform and be reported in the Statement of Internal Control and the Annual Reports The intention is that the current WRM standards will be incorporated into the new Healthcare Standards.
Clinical Outcomes
Services should be delivered as promptly as
possible
Healthcare Governance
Systems should be in place to support both
managerial and clinical leadership
Public Health
Healthcare organisations should collaborate with
relevant organisations and local communities to
ensure effective design and delivery of
programmes
Figure 9: NHS bodies will be assessed against new risk management standards in 2006/2007
This is trial version www.adultpdf.com
Trang 424 Financial Audit of Central Government and NHS Bodies in Wales 2007
The establishment of the Welsh
Consolidated Fund and National
Assembly for Wales Commission
present opportunities for locally
accountable Welsh spending as
well as associated risks which
the Auditor General will help the
Welsh Assembly Government to
manage
3.26 The Government of Wales Act 2006 received
Royal Assent on 25 July 2006 and came into
effect following the May 2007 Assembly
elections The Act abolished the former
Assembly corporate body and reconstituted
the National Assembly as an unincorporated
association; as such it no longer has any
government functions These functions now
rest with the Assembly Government, an entity
that is legally separate from the National
Assembly
Welsh Consolidated Fund
3.27 The Act established a Welsh Consolidated
Fund (the Fund) from which the Assembly
Government and other bodies draw down
funds The Parliamentary grant provided by
the Secretary of Sate for Wales is paid into
the Fund
3.28 Payments out of the Fund are intended to meet the costs of the Assembly Government’s programmes, and need to be authorised either via an Annual or Supplementary Budget Motion of the Assembly Each budget motion specifies the amount of resources that may
be used; the amounts of accruing resources that may be retained; and the amounts of cash that may be issued from the Fund
3.29 The Auditor General is required to give an approval to draw down all sums payable from the Fund and must be satisfied that each payment is in accordance with the relevant budget resolution
National Assembly Commission 3.30 The National Assembly Commission (the Commission) is a new corporate body established under the 2006 Act This body is now responsible for providing the National Assembly with property, staff and services
3.31 The former Assembly recognised that there were significant risks to be managed in creating the new Commission out of the former Assembly Parliamentary Services department In particular, as a separate corporate body the Commission needed to establish its own corporate governance and financial management arrangements
Figure 10: The NLIAH review will assist NHS bodies to further develop their corporate governance systems by
Providing a baseline assessment for the Director, NHS Wales as Accounting Officer, on the standards of corporate governance embedded and operating at Board level in the NHS in Wales;
Advising the Director, NHS Wales on how the existing governance framework can be improved, and on options for future reform of the governance and accountability structure;
Helping NHS Boards to discharge their responsibilities effectively by working with them to develop and roll out a tailored governance development programme designed to enhance Board level skills and strengthen the corporate governance framework within their organisations; and
Contributing to the development of a more effective and joined-up framework for board members across the public sector in Wales, contributing to taking forward the recommendations of the Beecham Report 'Beyond Boundaries'.
This is trial version www.adultpdf.com
Trang 525 Financial Audit of Central Government and NHS Bodies in Wales 2007
3.32 In May 2006 a Shadow Commission was
established as an advisory committee to the former Assembly Its brief was to review and recommend governance and financial arrangements for the new Commission
3.33 At the first meeting of the Commission
following the elections, specific governance and financial management proposals were formally presented and approved However, risk management arrangements are yet to be fully developed and the new Commission will need to embed these into its day to day operations as soon as possible
3.34 I look forward to working with the newly
formed Assembly and its corporate bodies, and to continuing the productive relationship I have always had with Assembly Government management
This is trial version www.adultpdf.com
Trang 626 Financial Audit of Central Government and NHS Bodies in Wales 2007
This Report covers the results of the examination of
all of the 2005/2006 accounts prepared by the
National Assembly and the other public bodies that I
audit A complete listing is given below:
Accounts prepared by the National Assembly
Assembly Core Resource account
Assembly Consolidated Resource account
Health Commission Wales (Specialist
Services)
Welsh non-Domestic Rating
Summarised Account of local health boards
in Wales
Summarised Account of NHS trusts in Wales
Assembly Members' Pension Scheme
Account
AGSPBs
Arts Council of Wales
Care Council for Wales
Countryside Council for Wales
Health Professions Wales (abolished from 1
April 2006)
Higher Education Funding Council for Wales
Local Government Boundary Commission for
Wales
National Council for Education and Training
for Wales (abolished from 1 April 2006)
National Library of Wales National Library of Wales - Staff Superannuation Scheme Account National Museums and Galleries of Wales Qualifications, Curriculum and Assessment
Authority for Wales (abolished from 1 April
2006)
Sports Council for Wales Sports Council for Wales Trust Account Wales Centre for Health
Wales Tourist Board (abolished from 1 April
2006)
Welsh Development Agency (abolished from 1
April 2006)
Welsh Language Board
NHS trusts
Bro Morgannwg Cardiff & Vale Carmarthenshire Ceredigion & Mid Wales Conwy & Denbighshire Gwent Healthcare North East Wales North Glamorgan North West Wales
Appendix 1 - Accounts covered by this report
This is trial version www.adultpdf.com
Trang 727 Financial Audit of Central Government and NHS Bodies in Wales 2007
Pembrokeshire & Derwen Pontypridd & Rhondda Swansea
Velindre Welsh Ambulance Services
Local health boards
Anglesey Blaenau Gwent Bridgend Caerphilly Cardiff Carmarthenshire Ceredigion Conwy Denbighshire Flintshire Gwynedd Merthyr Tydfil Monmouthshire Neath Port Talbot Newport
Pembrokeshire Powys
Rhondda Cynon Taf Swansea
Torfaen
Vale of Glamorgan Wrexham
Other bodies
Children's Commissioner for Wales Estyn
Forestry Commission Wales General Teaching Council for Wales Public Services Ombudsman for Wales
Welsh accounts audited by the Comptroller and Auditor General and laid before the National Assembly
The Comptroller and Auditor General was responsible for the audit of the following Welsh accounts for 2005/2006:
Sports Council and Arts Council Lottery Distribution Accounts
The Sports Council for Wales and the Arts Council
of Wales are Lottery distributors Each prepares a separate annual statement of account for the discharge of their Lottery functions These activities are not devolved responsibilities and are instead performed under delegated authority from the Department of Culture, Media and Sport
The European Agriculture Guidance and Guarantee Fund
This European fund pays subsidies to Welsh farmers, which are routed through the National Assembly and the Countryside Council for Wales This is not a devolved function, and an annual account is prepared by each body in the form prescribed by the European Commission
This is trial version www.adultpdf.com
Trang 8Appendix 2 - List of Value for Money reports published in 2005/2006
List of Value for Money reports published in 2005/2006:
management of sickness absence in further education institutions in Wales;
progress in implementing the Committee's recommendation on the procurement of primary care medicines;
the collapse of Antur Dwyryd Llyn;
contract for the provision of the out-of-hours GP service in Cardiff;
protecting NHS Trust staff from violence and aggression;
adult mental health services in Wales: a baseline review of service provision;
funding for the National Botanic Garden of Wales;
NHS energy management in Wales;
administration of Grants for Education Support and Training and the Better Schools Fund; and the Merlin contract - enabling the National Assembly to change its business processes through ICT
Financial Audit of Central Government and NHS Bodies in Wales 2007
www.adultpdf.com